HomeMy WebLinkAbout00470 •�
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This does not constitute
it a building or use permit.
i . ,� GARFIELD COUNTY DEPARTME'NT OF ENVIRONMENTAL HEALTH
tt n, 2014 Blake Avenue
y Glenwood Springs, Colorado 81601
INDIVIDUAL SEWAGE DISPOSAL PERMIT NY 470 9167-72 9/
Owner ,ii: ,, " "'= ", / Hue Mart Corp,
System Location 6818 Hwy, 82 Si.
Licensed Contractor eo8 Rts&Z erica r9U ,T -r>A/ . ./.
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Conditional Construction approval is hereby granted for a 62 0 gallon p8!
' w•' Septic Tank or Aerated treatment unit. N ._._-.-
Absorption area (or diapersal area) computed as follows: S
Pere rate of one inch in minutes requires a minimum of !9 q ft. of absorption area per bedroom.
Therefore the no. of bedrooms x sq. ft. minimum requirement = a total of sq. ft. of absorption area. 4, , ' ;� �. �. . J �� Inspector �S �I . � 1
May we suggest /4 ✓yi1(S 574 t' 6 ,4 /`9 -77, ✓/" ,
41 Date
n o *
FINAL APPROVAL OF SYSTEM:
No system shall, be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to cover-
ing any part.
'/L- Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
Proper materials and assembly.
i t Trade name of septic tank or aerated treatment unit.
— Gd�ir► Adequate absorption (or dispersal) area.
' Adequate compliance with permit requirements.
490 Adequate compliance with County and State regulations /requirements.
Other
/ ^' " Inspector /
Date `/ -i-1 77 t %� -..il
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
*CONDITIONS:
1. All installation must comply with all requirements of the County Individual Sewage Disposal Regulations, adopted pursuant to au-
thority granted in 66 -44.4, CRS 1963, amended 66 -3 -14, CRS 1963.
2. This permit is valid only for connection to structures which have fully complied with County Zoning and building requirements.
Connection to or use with any dwelling or structures not approved by the building and Zoning office shall automatically be a viola-
tion of a requirement of the permit and cause for both legal action and revocation of the permit.
3. Section III, 3.24 requires any person who constructs, alters, or installs an individual sewage disposal system in a manner which in-
volves a knowing and material variation from the terms or specifications contained in the application of permit commits a Class I,
Petty Offense ($500.00 fine - 6 months in jail or both.
Building Official - Permit White Copy Applicant - Green Copy Dept. - Pink Copy
Fees Paid $7,
INDIVIDUAL SEWAGE DISPOSAL APPLICATION
• Date 10 - S - ii
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE
'$ INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM
`Owner: //ll F_ B4IC. Yu MART Co 2 P
Mail Address: Q.o .66 987 City:C,Citiu.000 Zip: 8/60/ Phone: 9S/.; `6(,9
INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW
Attach separate sheets or report showing entire area with respect to surrounding areas,
topography of area, habitable buildings, location of potable water wells, soil percola-
tion test holes, soil profiles in test holes.
1. Location of facility: County (Ae F,.4 c A City or Town
Legal Description _ 68i# ,44w,v7 82 5; Lot Size 3, 09 .9c.
2. No. of Bedrooms N4- Septic Tank Capacity Aeration Unit Capacity
3. Source of Domestic Water: Public (name):
Private: Wells/ Depth Other Depth to first ground water table
4. Is facility within boundaries of a city /town or sanitation district? �o
5. Distance to nearest sewer system: ,Soo '1
Have you attempted to arrange a connection with the system? */p
If rejected, what was the reason? ,P2 , d A Te
6. Rate of absorption in test holes shown on the location map, in minutes per inch of
drop in water level after holes have been soaked for 24 hours: „i -5 'en/
7. Name, address, and telephone of person who made soil abso 1 EtEAR C�1iT�(NVIRONMENTAI. HEALTH
lake .vtnre rfl. 13Uws45 -v[a5
C!Enwood :.rings, Coleradu &1661
8. Name, address, and telephone of person responsible for design of the system:
9. Express permission is hereby granted for the inspection of the above property by any
member of the Garfield County Environmental Health Department and /or such persons as
they may designate. Any withdrawal of this permission shall be in writing and receipt
acknowledged by the County Environmental Health Department.
10. I have been given an opportunity to read the Individual Disposal Systems Regulations of
Garfield County and I hereby agree to comply with all terms, conditions and requirements
included therein.
/0- - 77 ah_ �c c9 ,
Date Signature of App1i nt 4 010,
(TO BE RETURNED TO HEALTH DEPT.)
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REPLY MESSAGE
• • This Form available from Gm 82 yare Co., Inc., A Subsidiary of Dictaphone Corporation, B Third Awn Brooklyn, N. Y. 11234
}te " � P2 f o £n v. g / i t . FROM 303/9,45-8596
' TO B t P ELDORADO ENGINEERING COMPANY
2 0 0 'B A C &4 . . P. O. BOX 669
jr l S2i, e S id l G U 818 COLORADO AVENUE
c wnd q . GLENWOOD SPRINGS, COLORADO 81601
SUBJECT: 6a - c la $ P 4 C44 J 04 Pi Mack.
1 DATEt / ' 0 - 7 7
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P L E A S E R E P L Y T O - SIGNED 4
DATE I SIGNED
OMAR( w.. INC., BROOKLYN. N. Y. THIS COPY FOR PERSON ADDRESSED
.. DETACH THIS COPY . RETAIN FOR ANSWER. SEND WHITE AND PINK COPIES WITH CARBONS INTACT. - ' " -'
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